Esthetic Outcome of Immediate Single-tooth Implants With Vs. Without Bony Deficiency of the Buccal Alveolar Socket PDF Download
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Author: Mailath-Pokorny jr
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background:Immediate placement of dental implants into fresh extraction sockets is frequently complicated by deficiencies of the buccal alveolarbone. Bony defects due to chronic inflammation or trauma carry the potential to compromise the final esthetic result of implanttherapy.Aim/Hypothesis:The aim of the present comparative clinical trial was to evaluate immediate implants in the esthetic zone of the maxilla in the presenceor absence of buccal bone defects regarding esthetic outcome and bone remodeling.Materials and Methods:A total of 24 patients (mean age: 56 years) were subjected to immediate implant placement in the maxillary incisor or canine region.12 implants were placed into intact sockets and 12 implants were inserted next to bone defects (5 mm in apicocoronal and 4 mm inmesiodistal direction, on average). All implants were immediately restored using zirconia Copy-abutments and followed-up for 1 yearof function.Results:No difference in median Pink Esthetic Scores (PES) were observed between the defect and non-defect group (11.5 vs. 12.0,p=0.336). A higher rate of alveolar deficiency (PES-5, +29%) and soft tissue discoloration (PES-7, +17%) in implants with bonydefects and a weak correlation betweeen PES and defect size (r=0.71, p=0.018) was seen. No difference regarding mucosalrecession (0.6 vs. 0.8 mm) as well as marginal bone loss (1.6 vs. 1.4 mm) could be observed.Conclusions and Clinical Implications:No differences regarding esthetic outcome and peri-implant bone remodeling could be substantiated between immediate implants insockets with vs. without buccal bone defects, however, implant esthetics may be less predictable in cases of bony deficiencies.
Author: Mailath-Pokorny jr
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Background:Immediate placement of dental implants into fresh extraction sockets is frequently complicated by deficiencies of the buccal alveolarbone. Bony defects due to chronic inflammation or trauma carry the potential to compromise the final esthetic result of implanttherapy.Aim/Hypothesis:The aim of the present comparative clinical trial was to evaluate immediate implants in the esthetic zone of the maxilla in the presenceor absence of buccal bone defects regarding esthetic outcome and bone remodeling.Materials and Methods:A total of 24 patients (mean age: 56 years) were subjected to immediate implant placement in the maxillary incisor or canine region.12 implants were placed into intact sockets and 12 implants were inserted next to bone defects (5 mm in apicocoronal and 4 mm inmesiodistal direction, on average). All implants were immediately restored using zirconia Copy-abutments and followed-up for 1 yearof function.Results:No difference in median Pink Esthetic Scores (PES) were observed between the defect and non-defect group (11.5 vs. 12.0,p=0.336). A higher rate of alveolar deficiency (PES-5, +29%) and soft tissue discoloration (PES-7, +17%) in implants with bonydefects and a weak correlation betweeen PES and defect size (r=0.71, p=0.018) was seen. No difference regarding mucosalrecession (0.6 vs. 0.8 mm) as well as marginal bone loss (1.6 vs. 1.4 mm) could be observed.Conclusions and Clinical Implications:No differences regarding esthetic outcome and peri-implant bone remodeling could be substantiated between immediate implants insockets with vs. without buccal bone defects, however, implant esthetics may be less predictable in cases of bony deficiencies.
Author: Mahmoud Torabinejad
Publisher: Elsevier Health Sciences
ISBN: 0323242065
Category : Medical
Languages : en
Pages : 222
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Book Description
Covering treatment planning to restoration, Principles and Practice of Single Implant Restorations is the first book specifically designed to train Endodontists and General Dentists for a single tooth implant and restorations. It describes surgical principles, implant placement, implant site preparation, bone grafts and bone substitute materials, tooth extraction, guided bone regeneration, immediate implant placement, surgical defects, and single-tooth esthetic considerations. Expert authors Dr. Mahmoud Torabinejad, Dr. Charles Goodacre, and Dr. Mohammed Sabeti provide detailed guidelines for the use of single tooth implants as an appropriate and compelling treatment tool. - Single tooth implants have been established as a new tool by the AAE, allowing you to use single tooth implants as a part of overall treatment planning for patients with a tooth that must be extracted. - Easy-to-follow content generally follows the diagnosis and treatment planning for a single tooth implant and restoration, describing how a clinician might actually perform a single tooth implant. - Unique! Instructions designed exclusively for Endodontists and General Dentists doing endodontic work help you use single tooth implants to treat a diseased single tooth. - Expert authors Torabinejad, Goodacre, and Sabeti are AAE leaders as well as instructors at Loma Linda University, one of the first schools to have a Master's-level course in single-tooth implants, and have recruited contributors from top names in the endodontic and implant fields.
Author: Jay R. Beagle
Publisher: John Wiley & Sons
ISBN: 1118517571
Category : Medical
Languages : en
Pages : 262
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Book Description
Surgical Essentials of Immediate Implant Dentistry provides a definitive text on this important treatment modality. Assisting readers to make sense of the various clinical techniques and protocols, Beagle discusses the available underlying evidence to provide a practical, comprehensive and navigable aid to attaining a thorough understanding of this complex and highly relevant subject. All aspects of immediate placement of endosseous implants are clearly and scientifically discussed, enabling the reader to survey the entire subject area, fusing clinical guidance with scientific discussion. Surgical Essentials of Immediate Implant Dentistry takes pre-operative risk assessment and indications and contraindications for immediate loading as its logical starting point. It then proceeds to examine the treatment of infected sites, extraction site healing, methods of extraction, surgical protocol, and finishes with a discussion of complications. Surgical Essentials of Immediate Implant Dentistry will find a ready place within libraries of oral and maxillofacial surgeons, periodontists and prosthodontists and will provide all dentists with an interest in implant dentistry with a useful and welcome companion to this expanding area of clinical practice and research.
Author: Mauro Tosta
Publisher: John Wiley & Sons
ISBN: 1119225949
Category : Medical
Languages : en
Pages : 424
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Book Description
Decision Making in Dental Implantology: Atlas of Surgical and Restorative Approaches offers an image-based resource to both the surgical and restorative aspects of implant therapy, presenting more than 2,000 color images with an innovative case-by-case approach. Takes a highly pictorial approach to all aspects of implant dentistry Discusses both the surgical and restorative aspects of implant therapy in a single resource Describes a wide range of clinical scenarios likely to be encountered in daily practice Covers anterior, posterior, and full-mouth restorations Presents more than 2,000 color images showing the basic concepts and clinical cases
Author: Daniel Buser
Publisher: Quintessenz Verlag
ISBN: 1850973466
Category : Medical
Languages : en
Pages : 427
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Book Description
This third volume of the ITI Treatment Guide series provides clinicians with practical clinical information that will allow them to make evidence-based decisions regarding appropriate implant placement protocol in post-extraction sockets. The book features 15 case presentations illustrating the use of various clinical protocols as well as discussion of the factors influential to treatment outcome and potential complications. Implant dentistry has become a standard option for the rehabilitation of fully and partially edentulous patients. With the ever-increasing number of dentists involved in implant dentistry, it is essential to ensure that their treatment methods follow the highest standard. The ITI Treatment Guide series, a compendium of evidence-based implant-therapy techniques in daily practice, is written by renowned clinicians and provides a comprehensive overview of various therapeutic options. Using an illustrated step-by-step approach, the ITI Treatment Guide shows practitioners how to manage different clinical situations, with the emphasis on sound diagnostics, evidence-based treatment concepts, and predictable treatment outcomes.
Author: Adolfo Pereira Fernandez Adolfo
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Introduction The results of immediate implant placement, with a flapless approach, graft of the residual gap and immediate tooth replacement (FIITR) has been extensively reviewed, showing efficacy in terms of the preservation of the alveolar ridge and good implant survival. However, very little information exists on the clinical results of the immediate implants in total or partial absence of the vestibular bone plate (FIITR-AC). 421Objective Analyse retrospectively the success and aesthetic outcomes of 60 consecutive cases of FIITR-AC with a follow-up of 1 to 7 years, evaluated by means of the Albrektsson criteria (Ac), interproximal bone level changes (IPBLC) and the Pink Esthetic Score (PES). 257Material and methods 59 consecutive patients received a FIITR-AC in the anterior region (60 implants), from 2008 to early 2015, were included in the study. Surgery was performed by only one experienced surgeon (AS) with the help of a surgical microscope and microsurgical instruments. All patients were undergoing periodontal maintenance therapy. Special care was taken during the tooth extraction to preserve as much of the cortical plate as possible, after the flapless placement of the implant, an autogenous tunnel soft tissue graft was made to cover internally the bone dehiscence defect, and a deproteinized bovine bone mineral graft was made in the remaining gap. After achieving adequate implant stability, impressions were taken and a lab-made screw-retained provisional prosthesis was fabricated and delivered to the patient within the following 2 hours.Success (Ac), IPBLC (calibrated periapical digital radiographs), and aesthetic aspects compared to the contralateral tooth (PES) were evaluated. Results 40 implants supported single tooth restorations, while 20 were splinted in multiple-implant supported prosthesis. One of the cases (operated in 1988) failed (1.7%) after 1 month of healing. Interproximal peri-implant bone levels (IPBL) remained stable during the years of follow up (mean 0.7 mm single vs 0.26 mm splinted). The success rate was 98.3% (95%cr= 91.1-99.7%). Good aesthetic results were observed, with even significant better aesthetic outcomes in the single tooth implants than in the contralateral teeth (PES: 12.4 vs 10.7, p=0.002), both at the level of the global PES and its components. 78.3% of the cases (95% cr= 62.8-88.6) showed no buccal soft tissue marginal recession (PES=2), while 21.6% showed a PES of 1 (less than 2 mm). Evaluation was made by a calibrated examiner (AP, Kappa> 0.70). 813Conclusions With the limitations of a retrospective study, it has been observed that FIITR-AC may be a reliable option of treatment for alveoli with partial loss of the buccal plate when adequate implant stability may be obtained, showing a good success rate, the stability of IPBL and good aesthetic results in comparison with contralateral teeth.
Author: José Carlos Martins da Rosa
Publisher: Quintessence Publishing (IL)
ISBN: 9788578890360
Category : Dental implants
Languages : en
Pages : 0
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Author: Carolina Lenzi
Publisher:
ISBN:
Category :
Languages : en
Pages :
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SINGLE IMPLANT PLACEMENT IN THE AESTHETIC AREA: IMMEDIATE LOADING VERSUS TRADITIONAL DELAYED: SURGICAL APPROACH AND 5 YEARS LONG TERM EVALUATIONBackground & aimThe immediate implant placement in a fresh socket after tooth extraction is considered a reliable therapeutic procedure and it presents the advantage of having a considerable amount of native bone. This technique also reduces the number of surgical procedures and the overall treatment time, obtaining the patientu2019s approval and satisfaction. The anterior aesthetic area is considered critical to treat: in fact it is fundamental to obtain hard and soft tissue stability in order to obtain long term biological and aesthetic success.Clinical studies showed that in several situations the technique reported here is also applicable in the aesthetic area and if exclusion criteria are respected, the results obtained can be predictable. However this concept is still controversial and some authors suggest delaying the placement and loading of the implant in the aesthetic area.The aim of this study is to evaluate and compare 2 study groups (immediate placement and loading- and delayed) of 20 single implants 10 for each group placed into the aesthetic area made by the same operator. Are included in this study only from incisors to canine area in upper and lower jaw and evaluated each one after 60 months.Materials & MethodsAfter a minimally traumatic extraction of the tooth, a different surgical approach was used.In the first DEALAYED study group (10 individual cases), depending on the presence of thin or thick gingiva and on the residual volume of buccal plate, the implant was placed with conventional protocol and delayed loading. In the second IMMEDIATE LOADING study group (10 individual cases), after the tooth extraction the implant was immediately placed and loaded without functional loading. In both study groups, if bone loss occurred in the buccal plate, an integration with GBR techniques and the use of biomaterials were necessary to fill the buccal gap. Good primary stability of the implant and a non-functional load were achieved in all loading cases.ConclusionsThe follow-up after 60 months, performed by clinical probing and radiographic evaluation and also supported by TC scan, shows that the results are comparable and that post-extractive implants with immediate non functional loading can be used in selected cases.The results obtained are good in both thin and thick biotype cases and it seems evident that it is possible to obtain predictable long term functional and aesthetic success. An accurate previous evaluation and study of each single case as biotype, hard and soft tissue and as well as residual buccal plate are always considered essential requirement criteria to obtain this data.
Author: France Lambert
Publisher: Quintessenz Verlag
ISBN: 3868676821
Category : Medical
Languages : en
Pages : 504
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Book Description
Dental implants are used routinely throughout the world to replace missing teeth. With the broadening of treatment options and an increasing number of clinicians that provide implant therapy, it is important to ensure that the treatment methods used meet the highest clinical standards. The ITI Treatment Guide series is a compendium of evidence-based implant-therapy techniques in daily practice. Written by renowned clinicians and supported by contributors from expert practitioners, the ITI Treatment Guides provide a comprehensive overview of the various indicated treatment options. The management of different clinical situations is discussed with an emphasis on sound diagnostics, evidencebased treatment concepts, and predictable treatment outcomes with minimal risk to the patient. Volume 14 of the ITI Treatment Guide series aims to provide a comprehensive overview on immediate implant placement and immediate loading protocols for replacement of single or multiple teeth requiring extraction. This volume outlines the current literature on immediate implant placement and immediate loading and elaborates on our understanding of the biology surrounding tooth extraction and osseointegration that underpin these treatment concepts. The importance of patient and site selection in conjunction with comprehensive treatment planning is highlighted and a risk assessment tool to aid decision making is provided. All key aspects of both the surgical and loading procedures are described in order to provide protocols that optimize the final treatment outcome. This volume also presents 9 step-by-step clinical cases performed by experts in the field, and typical complications of immediate implants are discussed, along with recommendations on how these can be prevented.
Author: Sargon Lazarof
Publisher:
ISBN:
Category : Dental Implants
Languages : en
Pages : 144
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